| Willow Tree Behavior Analysis Consulting | |
|
90 Riggs Drive 4 Hannawa Falls NY 13647 | |
| (315) 514-0059 | |
| Not Available |
| Full Name | Willow Tree Behavior Analysis Consulting |
|---|---|
| Speciality | Behavior Analyst |
| Location | 90 Riggs Drive, Hannawa Falls, New York |
| Authorized Official Name and Position | Audrey Marshall (OWNER/BEHAVIOR ANALYST) |
| Authorized Official Contact | 3158421536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Tree Behavior Analysis Consulting Po Box 5 Hannawa Falls NY 13647-0005 Ph: (315) 842-1536 | Willow Tree Behavior Analysis Consulting 90 Riggs Drive 4 Hannawa Falls NY 13647 Ph: (315) 514-0059 |
| NPI Number | 1902426695 |
|---|---|
| Provider Enumeration Date | 04/22/2020 |
| Last Update Date | 04/22/2020 |
| Certification Date | 04/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902426695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |